MR imaging in the follow-up of malignant and aggressive soft-tissue tumors: Results of 511 examinations

Daniel Vanel, Lorraine G. Shapeero, Thierry De Baere, René Gilles, Anne Tardivon, Jean Genin, Jean Marc Guinebretière

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: To present magnetic resonance (MR) imaging findings from 511 follow-up examinations of aggressive soft-tissue tumors. MATERIALS AND METHODS: One hundred eighty-two patients with aggressive soft-tissue tumors underwent postoperative T1- and T2-weighted imaging; 41 also underwent 51 gadolinium-enhanced T1-weighted examinations, and five underwent dynamic gadolinium-enhanced subtraction imaging. RESULTS: Twenty-four of 25 patients (101 of 102 examinations) without high signal intensity (HSI) at T2-weighted imaging had no recurrence. Among 79 patients (321 examinations) who demonstrated HSI without a mass, only two tumors recurred within 1 year. An HSI mass was found in 88 studies of 78 patients and represented recurrence (n = 60), hygroma (n = 24), or a radiation-induced pseudomass (n = 4). Hygromas did not enhance, while recurrences enhanced at 1-3 minutes and postirradiation change enhanced at 4-7 minutes. CONCLUSION: T2-weighted imaging can be used to identify possible recurrence of aggressive soft-tissue tumors, while gadolinium-enhanced imaging can be used to differentiate recurrences from hygromas and inflammatory change.

Original languageEnglish
Pages (from-to)263-268
Number of pages6
JournalRadiology
Volume190
Issue number1
Publication statusPublished - Jan 1994

Keywords

  • Fibromatosis, 40.1549
  • Gadolinium
  • Magnetic resonance (MR), contrast enhancement, 40.12143
  • Soft tissues, neoplasms, 40.36, 40.37, 40.39

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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